NPIMap

Organization Active NPI

Bay Women'S Health, LLC

  • Obstetrics Physician
  • Glen Burnie, MD
National Provider Identifier
1871967752
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
D0036352 Issued in MD
Legal business name
BAY WOMEN'S HEALTH, LLC
Practice address
308 Hospital Dr
Suite 101
Glen Burnie, MD 21061-5506
Phone
(443) 801-1575
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Paul Stern, MDNPI 1295797603
Title
Medical Director
Phone
(443) 801-1575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X D0036352 MD Primary

Addresses

Primary practice location

308 Hospital Dr
Suite 101
Glen Burnie, MD 21061-5506

Mailing address

308 Hospital Dr
Suite 101
Glen Burnie, MD 21061-5506
Phone (443) 801-1575

Other identifiers 1

IdentifierTypeStateIssuer
559871100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120000141 MD Part B Supplier - Clinic/Group Practice 1355644709 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD; Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

3001 S Hanover St
Ste 202
Baltimore, MD 21225
Phone (410) 355-0001

308 Hospital Dr
Ste 101
Glen Burnie, MD 21061
Phone (410) 595-6353

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1871967752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615506",
            "telephone_number": "443-801-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615506",
            "telephone_number": "443-801-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY WOMEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-801-1575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D0036352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559871100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.